Proliferation to Apoptosis Tumor Cell Ratio as a Biomarker to Improve Clinical Management of Pre-Malignant and Symptomatic Plasma Cell Neoplasms

Proliferation and apoptosis of neoplastic cells are prognostic biomarkers in plasma cell neoplasms (PCNs). The prognostic capacity of proliferation to apoptosis ratio (Ratio-PA) in the era of immunomodulatory treatments is re-evaluated in 316 gammopathy of undetermined significance (MGUS), 57 smoldering multiple myeloma (SMM), and 266 multiple myeloma (MM) patients. Ratio-PA of 0.77 ± 0.12, 1.94 ± 0.52, and 11.2 ± 0.7 (p < 0.0001) were observed in MGUS, SMM, and MM patients. Ten-year overall survival (10y-OS) rates for patients with low/high Ratio-PA were 93.5%/77.3% p < 0.0001) for MGUS, 82.5%/64.7% (p < 0.05) for SMM, and 62.3%/47.0% (p < 0.05) for MM. For patients with low, intermediate, and high risk, 10y-OS for low/high Ratio-PA were 95.5%/72.9% (p < 0.0001), 74.2%/50.4% (p < 0.0001), and 35.3%/20.0% (p = 0.836), respectively. Ratio-PA was an independent prognostic factor for OS (HR = 2.119, p < 0.0001, Harrell-C-statistic = 0.7440 ± 0.0194) when co-analyzed with sex, age, and standard risk. In patients with Ratio-PA^high, only first-line therapy with VRd/VTd, but not PAD/VCD, coupled with ASCT was associated with high 10y-OS (82.7%). Tumor cell Ratio-PA estimated at diagnosis offers a prognostic biomarker that complements standard risk stratification and helps to guide the clinical management of pre-malignant and symptomatic PCNs. Every effort should be made to provide first-line therapies including VTd or VRd associated with ASCT to patients with Ratio-PA^high at higher risk of progression and death.     

Cushing’s Syndrome Effects on the Thyroid

The most known effects of endogenous Cushing’s syndrome are the phenotypic changes and metabolic consequences. However, hypercortisolism can exert important effects on other endocrine axes. The hypothalamus–pituitary–thyroid axis activity can be impaired by the inappropriate cortisol secretion, which determinates the clinical and biochemical features of the “central hypothyroidism”. These findings have been confirmed by several clinical studies, which also showed that the cure of hypercortisolism can determine the recovery of normal hypothalamus–pituitary–thyroid axis activity. During active Cushing’s syndrome, the “immunological tolerance” guaranteed by the hypercortisolism can mask, in predisposed patients, the development of autoimmune thyroid diseases, which increases in prevalence after the resolution of hypercortisolism. However, the immunological mechanism is not the only factor that contributes to this phenomenon, which probably includes also deiodinase-impaired activity. Cushing’s syndrome can also have an indirect impact on thyroid function, considering that some drugs used for the medical control of hypercortisolism are associated with alterations in the thyroid function test. These considerations suggest the utility to check the thyroid function in Cushing’s syndrome patients, both during the active disease and after its remission.     

Reservoir engineering assessment of low-temperature geothermal resources in the Skierniewice municipality (Poland)

Low temperature geothermal resources and their production potential in the Skierniewice area of Poland were evaluated assuming conventional well doublet arrays. The reservoir engineering assessment was carried out, within the framework of a World Bank project, to study the feasibility of providing heat to the local district heating system, using data from two existing wells and from geophysical surveys, and by evaluating results of production, injection and interference well tests. Two options were simulated mathematically, using both semianalytical and numerical codes, considering a simplified reservoir model: one based on the two existing wells, the other considering four wells, two to be drilled. The injection of spent brines into a different reservoir was also studied.     

Stand-alone operation of an alkaline water electrolyser fed by wind and photovoltaic systems

Over the last few years, hydrogen technologies have established themselves as key enablers in the medium and long-term development of a new energy model that offers greater sustainability and independence than the present-day one. In this respect, the integration of water electrolysis with renewable energy-based systems can play an important part in the large-scale production of sustainable hydrogen. This paper reports on the complete experimental characterisation of a 1 Nm³ h⁻¹ alkaline water electrolyser located in the Public University of Navarre (UPNa). Specifically, a study was made of the electrical performance, hydrogen production rate, purity of the gases generated and energy efficiency, for a range of operating currents (40–120 A), temperatures (35–65 °C) and pressures (5–25 bar). Additionally, an experimental study was conducted on the electrolyser operation under conditions that are characteristic of a stand-alone wind power and PV-based renewable energy system, installed at the UPNa. The results obtained for the wind power and PV emulations showed that the electrolyser performed correctly, with regard to balance of plant and its principal electrochemical characteristics. Furthermore, the mean energy efficiency of the electrolyser was 77.7% for the wind power emulation, and 78.6% for the PV emulation on a day with stable irradiance, and 78.1% on a day with highly variable irradiance (day with scattered clouds).     

Solid‐phase extraction of phenolic compounds with poly[metalloprotoporphyrin IX]

A highly insoluble metalloporphyrin polymeric material was used as sorbent for the solid‐phase extraction of phenolic compounds. Substantial quantities of phenols (40 to 60 mg/g polymer) were absorbed from aqueous solution comparing satisfactorily with other extraction methods. The polymeric phase presented similar K_SPE values for the hydrophobic compounds tested such as p‐chlorophenol, BPA, p‐nitrophenol, and a significant lower value for the more hydrophilic p‐aminophenol and cresol. Several metallic complexes of protoporphyrin IX (Co²⁺, Cu²⁺, Ni²⁺, Zn²⁺, and Fe³⁺) have been tested. The analytes were extracted with high recoveries at acid and neutral pH values, whereas at pH 10 low recoveries were obtained. © 2001 John Wiley & Sons, Inc. J Appl Polym Sci 81: 3038–3043, 2001     

Social coordination in toddler's word learning: interacting systems of perception and action

We measured turn-taking in terms of hand and head movements and asked if the global rhythm of the participants' body activity relates to word learning. Six dyads composed of parents and toddlers (M = 18 months) interacted in a tabletop task wearing motion-tracking sensors on their hands and head. Parents were instructed to teach the labels of 10 novel objects and the child was later tested on a name-comprehension task. Using dynamic time warping, we compared the motion data of all body-part pairs, within and between partners. For every dyad, we also computed an overall measure of the quality of the interaction, that takes into consideration the state of interaction when the parent uttered an object label and the overall smoothness of the turn-taking. The overall interaction quality measure was correlated with the total number of words learned.In particular, head movements were inversely related to other partner's hand movements, and the degree of bodily coupling of parent and toddler predicted the words that children learned during the interaction. The implications of joint body dynamics to understanding joint coordination of activity in a social interaction, its scaffolding effect on the child's learning and its use in the development of artificial systems are discussed.     

Carbon loss from <Emphasis Type="Italic">Brachystegia spiciformis</Emphasis> leaf litter in the sandy soils of southern Mozambique

Leaves of Brachystegia spiciformis represent a substantial fraction of the total aboveground litter in bush fallow fields with sandy soils in southern Mozambique, where annual rainfall exceeds 600 mm. This species is one of the most important in the miombo woodland that is the natural vegetation of the region. Proper knowledge of the decomposition of its litter is therefore crucial for understanding processes responsible for natural build-up of fertility in agricultural soils abandoned to bush fallow during shifting cultivation. This study investigated the effects of soil water content and soil temperature on loss of organic carbon (C) from decomposing leaves in litterbags with 1 mm mesh size. The litterbags were buried 50 mm deep in recently abandoned agricultural fields cleared of any vegetation (Bare) and in more than 15-year-old bush fallow fields (Fallow) of sites covering a climatic transect with annual rainfall from <400 mm to >1,000 mm. Two patterns of C loss were observed, one in coastal and wetter agroecosystems (rainfall >600 mm) and the other in inland and drier agroecosystems (rainfall <600 mm). In the wetter agroecosystems C loss was faster, whereas in drier agroecosystems it was more sensitive to rainfall pulses. Similarly, C loss was faster in fallow fields than in bare fields. During summer, bare fields reached soil temperatures higher than the estimated upper boundary favourable for C loss from decomposing leaf litter at all sites. A simple dynamic decomposition model describing the C fraction remaining in the litterbags was developed. Coefficients of determination (R ²) for the individual experimental units varied between 0.79 and 0.97. The general model for all sites and fields improved explanation of total variation from 81% to 86% when measured soil temperature and soil water content were used as modifiers of decomposition rate, compared with the standard negative exponential model. Root-mean-square error and systematic bias were 9.7% and 0.5% of initial C, respectively. Decomposition was more strongly affected by soil water content than by soil temperature and explained 75% of total variation. Thus, rainfall is the main driver of C loss from leaf litter in these agroecosystems.